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GAITHER SUITES AT WEST PARK NPI 1184043945


NPI Information

NPI: 1184043945
Provider Name: GAITHER SUITES AT WEST PARK
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 18D2215829

Address:
4960 VILLAGE SQUARE DR
PADUCAH, KY
ZIP 42001
Phone: (270) 442-3999
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GAITHER SUITES AT WEST PARK is an assisted living facility in Paducah, KY. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. GAITHER SUITES AT WEST PARK NPI is 1184043945. The provider is registered as an organization entity type.

The provider's business location address is:

4960 VILLAGE SQUARE DR
PADUCAH, KY
ZIP 42001-490
Phone: (270) 442-3999

The provider's authorized official is Jennifer Gish .
The authorized official title is Executive Director and has the following contact phone number (270) 442-3999.

The CLIA number assigned to this NPI record is 18D2215829 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2014 and was last updated on 4/9/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility007718521KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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